Ticket for Outdoor Patient
| Ward No. 3 | U-PHC No. | Registration No. 01409 | Date 29/09/2018 |
| Token No | SM/22-23/21725 19/05/2023 | Serial | 006 Last Visit: 16/07/2025 |
| Patient Name | Mr. RAMEN DAS | Contact No | 9836092882 |
| Address | 2/A VIVEKANAND LANE SERAMPORE HOOGHLY | Age | 75 Years,6 Months,13 Days Male |
| Token For | Medicine, | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm BMI: nan |
| Diagnosis | |||